- Practice location
- 6560 W Fullerton Ave Unit C106, Chicago, IL 60707-3439
- Phone
- 773-385-6700
- Fax
- —
- Last updated
- May 31, 2022
Wid Adams is a Dentist based in Chicago, IL. Wid Adams practices in Chicago, IL and has the professional credentials of DDS. The NPI Number for Wid Adams is 1013672609 and holds a License No. 019.033633 (IL). The current practice location address for Wid Adams is 6560 W Fullerton Ave Unit C106, Chicago, IL 60707-3439 and can be reached out via phone at 773-385-6700.
Provider Profile Details
- NPI Number
- 1013672609
- Provider Name
- Wid Adams
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6560 W Fullerton Ave Unit C106, Chicago, IL 60707-3439
- Phone Number
- 773-385-6700
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 8, 2021
- Last Update Date
- May 31, 2022
- Certification Date
- May 31, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6560 W Fullerton Ave Unit C106
Chicago, IL 60707-3439 - City
- Chicago
- State
- Illinois
- Zip
- 60707-3439
- Phone Number
- 773-385-6700
Provider Business Mailing Address Details
- Address
- 6560 W Fullerton Ave Unit C106
Chicago, IL 60707-3439 - City
- Chicago
- State
- IL
- Zip
- 60707-3439
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 019.033633
- License State (2)
- IL
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wid Adams, DDS?
The NPI number of Wid Adams, DDS is 1013672609. It was assigned on November 8, 2021 and is currently active in the NPPES registry.
What is the specialty of Wid Adams, DDS?
Wid Adams, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in IL under license number 019.033633.
Where does Wid Adams, DDS practice?
The practice location is 6560 W Fullerton Ave Unit C106, Chicago, IL 60707-3439. The office can be reached at 773-385-6700 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013672609 directly on the NPPES registry website.